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1477135739
ALEXANDER LOUIS DIVERGILIO
NEWNAN, GA
NPI
1477135739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
ALEXANDER LOUIS DIVERGILIO M.Ed, NCC
59 HOSPITAL RD
NEWNAN, GA 30263-1209
Phone number: 678-423-4610
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Mailing Address
ALEXANDER LOUIS DIVERGILIO M.Ed, NCC
105 GREEN MEADOW LN
FAYETTEVILLE, GA 30215-6504
Phone number: 678-382-2732
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